The Epidemiology of Depression and Diabetes Distress in Type 2 Diabetes in Kuwait. (2nd June 2020)

• Record Type: Journal Article
• Authors: Al-Ozairi, Ebaa; Al Ozairi, Abdulla; Blythe, Clare; Taghadom, Etab; Ismail, Khalida
• Other Names: Sugawara Akira Academic Editor.
• Is Part Of: Journal of diabetes research. Volume 2020(2020)
• Publication Date: 2020-06-02
• Subjects: Diabetes -- Periodicals; Diabetes -- Pathophysiology -- Periodicals; Diabetes -- Prevention -- Periodicals; Diabetes -- Etiology -- Periodicals; Diabetes -- Epidemiology -- Periodicals; Diabetes -- Pathogenesis -- Periodicals; 616.462005
• DOI: 10.1155/2020/7414050
• Languages: English
• ISSNs: 2314-6745

Abstract

Abstract : This study is aimed at describing the prevalence of and risk factors for depression and diabetes distress in people with type 2 diabetes and whether depression and distress are independently associated with worse biomedical outcomes. The study was of cross-sectional design. The setting was the Dasman Diabetes Institute, Kuwait. The Patient Health Questionnaire-9 (PHQ-9) was used to measure the prevalence of depression, defined as a score ≥ 10 (depression caseness). The Problem Areas in Diabetes (PAID) was used to measure diabetes-related distress. Data on biomedical outcomes, lifestyle factors, and sociodemographic information were collected. The prevalence of depression and diabetes distress caseness was 29% and 14%, respectively. Depression caseness patients were more likely to be female (60%; p = 0.001 ), have Kuwaiti nationality (68%, p = 0.121 ), were on insulin (67%, p = 0.001 ), have higher body mass index (p = 0.047 ), were less physically active (78%; p = 0.034 ), have a higher PAID score (p < 0.001 ), and have hypertension (74%, p = 0.047 ). After adjustment of sociodemographics (age, gender, and marital status) and body mass index, the prevalence of depression was associated with higher HbA1c (B = 0.04, 95% confidence interval 0.01 to 0.60), while diabetes distress had a weak association with HbA1c (B = 0.13, 95% confidence interval 0.04 to 0.22). In conclusion, people with type 2 diabetes in Kuwait have a high prevalence of depression but lower diabetes distress and this was associated with worse glycaemic control.